SURGICAL SPECIALISTS P.C. NPI 1780650465

NPI Information

  • NPI: 1780650465
  • Provider Name: SURGICAL SPECIALISTS, P.C.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • CLIA Number: 39D2309108
  • Address: 11 INDUSTRIAL BLVD
    PAOLI POINTE STE 102
    PAOLI, PA
    ZIP 19301
  • Phone: (610) 647-3077

Map and Directions

Get Directions

NPI Details

SURGICAL SPECIALISTS, P.C. is a vascular surgery surgery in Paoli, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SURGICAL SPECIALISTS, P.C. NPI is 1780650465. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11 INDUSTRIAL BLVD
PAOLI POINTE STE 102
PAOLI, PA
ZIP 19301-632
Phone: (610) 647-3077

The provider's authorized official is Ronald J Mattson .
The authorized official title is President Of Corporation and has the following contact phone number (610) 527-1185.

The CLIA number assigned to this NPI record is 39D2309108 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
22086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10017456690001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI